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Rebound® PCL

Rebound® PCL


HC040120

The Rebound PCL is designed to apply a physiologically correct dynamic force, optimum for rehabilitation of posterior cruciate ligament (PCL) ruptures, whether during functional (non-surgical) treatment or post-surgical reconstruction. The dynamic load of the Rebound PCL on the tibia is generated by applying an anterior directed dynamic force on the calf area, and opposing counter forces on the anterior aspect of the leg.

Indications for use

  • Rehabilitation of Posterior Cruciate Ligament (PCL) ruptures, whether post-surgical reconstruction or during functional (non-surgical) treatment.

Features and benefits

  • A Dynamic Tension System™ designed to increase the load on the tibia as the knee goes through flexion, providing an anterior drawer force that reduces the load on the PCL.
  • Shear Knobs for specific load adaptation according to the patient’s individual anatomy and rehabilitation related requirements.
  • Polycentric Hinge with extension and flexion stops allowing for range of motion adjustment.
  • Anti-migration Straps (AMS) reduce migration and provide comfort while ensuring that the brace stays in correct position.
  • Breathable Sensil® liners reduce migration and skin irritation while providing comfort.

Rebound® PCL Competency Course - 1.5 CEUs

The Rebound PCL Competency Course is available to healthcare professionals 24/7. This text-based course is ABC approved for 1.5 CEUs upon successful completion of the online quiz (click button at the bottom of the page) and patient profiler. This may also qualify you for a live course to learn about custom measuring using Össur’s SmartMeasure App, Rebound PCL fitting best practices, and product adjustments.

Benefits of Dynamic Loading

Proven physiologic loading in knee extension and knee flexion.

Comparison of the posterior tibial load provided by a static PCL brace and the dynamic force of the Rebound PCL brace.

The Rebound PCL brace applies significantly larger forces at higher knee flexion angles, where the posterior cruciate ligament (PCL) is maximally loaded in vivo, compared to a static PCL brace.

 
  1. LaPrade RF, Smith SD, Wilson KJ, Wijdicks CA. Quantification of functional brace forces for posterior cruciate ligament injuries on the knee joint: an in vivo investigation. Knee Surg Sports Traumatol Arthrosc [Internet]. 2014 Aug 22 [cited 2014 Dec 11]; Available from: http://www.ncbi.nlm.nih.gov/pubmed/25145947

PCL rehabilitation protocols

The Rebound PCL brace can be used for rehabilitation of posterior cruciate ligament (PCL) ruptures, both in functional (non-surgical) and post-surgical protocols.

PCL Rupture - Functional (Non-Surgical) Rehabilitation Protocol1

ROM - Range of motion, PWB - Partial weight bearing, FWBAT - Full weight bearing as tolerated, FWB - Full weight bearing, OKC - Open kinetic chain, CKC - Closed kinetic chain, PRICE - Protection Rest Ice Compression Elevation.

 

 Phase I (1–6 weeks)Phase II (7–12 weeks)Phase III (13–18 weeks)Phase IV (> 18 weeks)
Rebound PCL Day & night Day & night Discontinue use  
ROM [Ext./Flex.]
  • 0/0/90 week 1-2
  • No limitations > week 2
  • Avoid tibial hyperextension and post. translation
  • No limitations
  • Avoid tibial hyperextension and post. translation
No Limitations No Limitations
Weight Bearing PWB week 1-2
PWB → FWB
FWB FWB  
Physio
  • PRICE
  • Stretching hamstrings
  • Gastrocnemius/activation of quadriceps
  • PRICE
  • Strengthening of hamstring and quads up to 70° flexion
  • Proprioceptive and balance exercise
Prepare for sport specific activity Sports specific agility exercise
PCL Rupture - Rehabilitation after surgical reconstruction1
ROM - Range of motion, PWB - Partial weight bearing, FWBAT - Full weight bearing as tolerated, FWB - Full weight bearing, OKC - Open kinetic chain, CKC - Closed kinetic chain, PRICE - Protection Rest Ice Compression Elevation.
 Phase I (1–6 weeks)Phase II (7–12 weeks)Phase III (13–18 weeks)Phase IV (19-24 weeks)Phase V (25-36 weeks)
Rebound PCL Day & night Day & night Use for all activities Use for all activities Wean off as tolerated
ROM [Ext./Flex.]
  • 0/0/90 week 1-2
  • > Week 2: Progression to full ROM as tolerated
  • Avoid tibial hyperextension and post. translation
  • No limitations
  • Avoid tibial hyperextension and post. translation
No Limitations No Limitations No Limitations
Weight Bearing Non weight bearing FWB → FWBAT FWB FWB FWB
Physio
  • PRICE
  • Gastrocnemius stretching
  • Activation of quadricep
  • PRICE
  • Gastrocnemius stretching
  • Light hamstring stretching
  • Squat progression
  • Proprioceptive and balance exercises
  • Progressive weightbearing strength, incl. progressive hamstring strengthening
  • Continue OKC and CKC strength and endurance work with progressive weight
  • Initiate initial sportspecific drills near end of this phase
  • Continue strength and endurance exercises and OKC for quads and hamstrings
  • Straight line jogging progression
  • Sport-specific drills
 
  1. Pierce CM, O’Brien L, Griffin LW, LaPrade RF. Posterior cruciate ligament tears: functional and postoperative rehabilitation. Knee Surg Sports Traumatol Arthrosc [Internet]. 2013 May [cited 2014 Dec 9];21(5):1071–84. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22484415

Order Information

*Order Using Össur's SmartMeasure iOS App
Part#Description
B-124501154 Rebound PCL Brace Custom Right*
B-124501155 Rebound PCL Brace Custom Left*
B-705130042 Extension Stop Kit
B-705130043 Flexion Stop Kit
B-465350087 Shear Knob Kit
PCL00061 S-L Strap Kit
PCL00062 XL-XXL Strap Kit
B-705130046 Condyle Kit
Rebound PCL- Off The Shelf
* M/L measurement: In a standard, weight bearing position - Using a Caliper: M/L at joint width, Using a Constant Force Caliper: M/L at knee axis line
** Calf circumference measurement: 15cm below knee center
*** Thigh circumference measurement: 15cm above knee center
DescriptionRightLeftCaliper M/L *Calf Circ. **Thigh Circ. ***
Small B-124501158 B-124501161 8.9 - 10.2cm 29 - 34.5cm 42 - 45cm
Medium B-124501159 B-124501162 10.2 - 11.4cm 34.5 - 38cm 45 - 51cm
Large B-124501160 B-124501163 11.4 - 12.7cm 38 - 42cm 51 - 58.5cm

Need a bigger size? Call us to discuss options.